| NPI | 1144901174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028606) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9504400) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-10-27 |